Checklist for Pensioners

Description

Family Pension (death while in service)
Points/ Enclosures to be Verified/ Checked:

o    *Application for grant of family pension / death gratuity( Form 21).
o    *Photograph of claimant (passport size) in triplicate, duly attested by the Head of Office.
o    *Two specimen signatures or left hand (in case of females)/right hand (for males) thumb impression mark in duplicate, duly attested by a Gazetted Government servant.
o    *Particulars of identification, height and personal marks of the claimant in duplicate, duly attested.
o    Assessment of family pension and death gratuity ( Form 20).
o    No Demand/No Dues Certificate from the Department and Directorate of Estates.
o    *Annexure related to SGEGIS (one copy pre receipted) in duplicate.
o    *Date of birth certificate of children .
o    DCRG nomination, duly attested.
o    SGEGIS nomination, duly attested.
o    Sanction for encashment of leave by the competent authority (containing amount involved and number of days leave at credit).
o    Statement for verification of service and SGEGIS along with Service Book page number.
o    Entry in Service Book for payment of pension and leave salary contribution as admissible.
o    Statement showing details and total period of non-qualifying service spell and year-wise breakup.
o    *Details of family members ( Form 1 A) duly countersigned.
o    Whether photocopy of Service Book and Pension file has been kept.
Note: Items marked * are to be submitted by/obtained from the claimant.
 

Pension case of a retiring Government Servant
Points/ Enclosures to be Verified/ Checked:

o    *Particulars of the retiring Government servant (Form 1).
o    *Application for commutation (Form A).
o    *Details of Family, duly countersigned (Form 1A).
o    Assessment of pension and gratuity (Form 2).
o    *Single or joint (with spouse) passport size photograph, in triplicate, duly attested by the Head of Office.
o    *Two specimen signatures or left hand (in case of females)/right hand (for males) thumb impression mark in duplicate, duly attested by a Gazetted Government servant.
o    *Two slips showing the particulars of height and personal identification marks (not less than two), duly attested by a Gazetted Government servant.
o    Retirement order.
o    No Demand/No Dues Certificate from the Department and Directorate of Estates.
o    Disciplinary/vigilance clearance certificate.
o    *Annexure related to SGEGIS (one copy pre receipted) in duplicate.
o    *DCRG nomination, duly attested.
o    * SGEGIS nomination, duly attested.
o    Pension calculation sheet.
o    Sanction for encashment of leave by the competent authority (containing amount involved and number of days leave at credit).
o    Statement for verification of service and SGEGIS along with Service Book page number.
o    Entry in Service Book for payment of pension and leave salary contribution for eligible retirees.
o    *Declaration for non-employment after retirement in case of Group ‘A’ pensioners, if the pension is drawn from PAO.
o    Statement showing details and total period of non-qualifying service spell and year-wise breakup.
o    *Nomination for payment of arrears of pension.

Note: Items marked * are to be obtained from the retiring Government servant.

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